本文關(guān)鍵詞： 腦膜瘤 影像學(xué)特征 腫瘤復(fù)發(fā)　出處：《桂林醫(yī)學(xué)院》2014年碩士論文　論文類(lèi)型：學(xué)位論文

【摘要】：目的：分析非復(fù)發(fā)組和復(fù)發(fā)組腦膜瘤患者的年齡、腫瘤最大直徑、腫瘤的發(fā)生部位、腫瘤的形狀、腫瘤周?chē)乃[情況、腫瘤的影像學(xué)下密度、強(qiáng)化情況和鈣化情況與腦膜瘤術(shù)后復(fù)發(fā)之間的相關(guān)性。應(yīng)用這些手段綜合分析即可在術(shù)前評(píng)價(jià)患者的復(fù)發(fā)風(fēng)險(xiǎn),從而制定出完善的診療措施,并采取相應(yīng)的預(yù)防和治療手段,改善患者的預(yù)后。 方法：收集2005-2013年廣西壯族自治區(qū)南溪山醫(yī)院神經(jīng)外科經(jīng)手術(shù)切除并病理證實(shí)的腦膜瘤病例共119例。我們將這些病例按照非復(fù)發(fā)和復(fù)發(fā)分為兩組。非復(fù)發(fā)組選取病人95例,復(fù)發(fā)組選取病人24例。比較非復(fù)發(fā)組與復(fù)發(fā)組之間的患者的年齡、腫瘤最大直徑、腫瘤的發(fā)生部位、腫瘤的形狀、腫瘤周?chē)乃[情況、腫瘤的影像學(xué)下密度、強(qiáng)化情況和鈣化情況等影像學(xué)特征(CT或MRI),分析其有無(wú)統(tǒng)計(jì)學(xué)差異。 結(jié)果：復(fù)發(fā)組腫瘤位于大腦凸面、矢狀竇旁、大腦鐮旁及顱底分別占50.0%(12/24)、8.3%(2/24)、16.7%(4/24)、25.0%(6/24；非復(fù)發(fā)組分別為44.2%(42/95)、6.3%(6/95)、16.9%(16/95)、32.6%(31/95),兩組比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)；復(fù)發(fā)組腫瘤為圓形、分葉形和蘑菇形腦膜瘤者分別占54.17%(13/24)、29.16%(7/24)、16.67%(4/24),非復(fù)發(fā)組則為68.4%(65/95)、22.1%(21／95)、9.5%(9/95),兩組比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)；復(fù)發(fā)組瘤內(nèi)有鈣化25%(6/24),高于非復(fù)發(fā)組的3.2%(3/95)(P0.05)；復(fù)發(fā)組發(fā)生骨質(zhì)改變37.50%(9/24),高于非復(fù)發(fā)組的9.5%(9/95)(P0.05)；兩組腫瘤大小、有無(wú)硬腦膜尾征、有無(wú)均一強(qiáng)化以及瘤周水腫程度比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。 結(jié)論：1、腦膜瘤的發(fā)生和進(jìn)展和復(fù)發(fā)是一個(gè)連續(xù)的、全身的過(guò)程,受多種因素的影響。 2、影像學(xué)檢查可以在一定程度上幫助診斷復(fù)發(fā)性腦膜瘤。
[Abstract]:Objective: to analyze the age, tumor diameter, tumor location, tumor shape, edema around the tumor, and imaging density of meningiomas in non-recurrent and relapsed groups. The correlation between enhancement and calcification and postoperative recurrence of meningioma. Comprehensive analysis of these methods can be used to evaluate the risk of recurrence of patients before the operation, so as to formulate a sound diagnosis and treatment measures. And adopt the corresponding prevention and treatment to improve the prognosis of patients. Methods:. 119 cases of meningioma confirmed by surgery and pathology in Nanxi Mountain Hospital of Guangxi Zhuang Autonomous region from 2005 to 2013 were collected. These cases were divided into two groups according to their non-recurrence and recurrence. 95 patients in non-recurrence group were selected. 24 patients were selected in the recurrent group. The age, the maximum diameter of the tumor, the location of the tumor, the shape of the tumor and the edema around the tumor were compared between the non-recurrence group and the recurrent group. The imaging features of tumor were CT or MRI, such as density, enhancement and calcification. Results: the recurrent tumors were located on the convex surface of the brain, next to the sagittal sinus, and the cerebral falx and skull base accounted for 50.0%, respectively. 25.0 / 24; In the non-recurrence group, 44.2% / 42 / 95 / 6.3a, respectively, about 16 / 95 / 16.9 and 32.632 / 95 respectively). The difference between the two groups was statistically significant (P 0.05). The recurrent tumors were round, lobular and mushroom meningiomas, accounting for 13 / 24 / 29. 16 / 7 / 24 and 16.67 / 4 / 24, respectively. In the non-recurrence group, the ratio was 68.4% (65 / 95) and 22.1b / 21 / 95 / 95 / 9 / 95 / 95. The difference between the two groups was statistically significant (P 0.05). The calcification of 25 / 24% of the tumor in the recurrent group was higher than that in the non-recurrence group (3.2 / 95 / P0.05). The incidence of bone change in recurrent group was 37.50 / 9 / 24, which was higher than that in non-recurrence group (9.5% 95% P 0.05). There was no significant difference in tumor size, dural caudal sign, homogeneous enhancement and degree of peritumoral edema between the two groups (P 0.05). ConclusionThe occurrence, progression and recurrence of meningioma are a continuous, systemic process, which is influenced by many factors. 2, imaging examination can help to diagnose recurrent meningioma to some extent.
【學(xué)位授予單位】：桂林醫(yī)學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類(lèi)號(hào)】：R739.45

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 胡濱,曾白云,朱建坤;顱內(nèi)復(fù)發(fā)性腦膜瘤31例臨床分析[J];廣東醫(yī)學(xué);1998年03期

2 謝莉;胡利國(guó);方才;;老年患者平衡麻醉與全憑靜脈麻醉時(shí)心功能變化比較[J];安徽醫(yī)藥;2012年05期

3 沈帆霞,于文;中西醫(yī)結(jié)合治療復(fù)發(fā)性腦膜瘤3例報(bào)告[J];湖南中醫(yī)雜志;1998年04期

4 見(jiàn)文成,朱樹(shù)干,吳承遠(yuǎn),張良文,劉玉光,呂正文;腦膜瘤復(fù)發(fā)原因分析(附28例報(bào)告)[J];山東醫(yī)藥;2002年21期

5 賈棟;高國(guó)棟;;影響腦膜瘤術(shù)后復(fù)發(fā)的影像相關(guān)因素分析[J];現(xiàn)代腫瘤醫(yī)學(xué);2007年10期

6 郭獻(xiàn)日;腦膜瘤瘤周水腫的磁共振成像分析[J];溫州醫(yī)學(xué)院學(xué)報(bào);1999年01期

7 關(guān)勇;洪玉麗;;全憑靜脈麻醉與靜吸復(fù)合麻醉效果比較[J];中國(guó)醫(yī)藥導(dǎo)報(bào);2011年31期

8 劉家勝,王國(guó)軍,步星耀,張永福,陳艷軍;腦膜瘤顱骨增生的發(fā)生機(jī)制[J];中國(guó)臨床神經(jīng)外科雜志;2002年05期

9 辛濤,趙旭,滕良珠;影響腦膜瘤全切術(shù)后復(fù)發(fā)的生物學(xué)因素[J];中國(guó)臨床神經(jīng)外科雜志;2005年05期

10 滕良珠,姚玉強(qiáng),張丙杰,趙旭,魏勝程,丁峰;腦膜瘤全切除術(shù)后復(fù)發(fā)的相關(guān)臨床及CT特征[J];中華神經(jīng)外科雜志;2005年10期

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